<?php
$form = $this->beginWidget('bootstrap.widgets.TbActiveForm', array(
    'id' => 'horizontalForm',
    'type' => 'horizontal',
    'enableAjaxValidation' => false,
//    'action'=>Yii::app()->createUrl('');
        ));
?>
<legend>Cetak SKPD Air Tanah</legend>
<br>

<?php echo $form->errorSummary($model); ?>

<<<<<<< .mine
=======
<div class="alert alert-success">A. </div>
<div class="form">
    <br>
<div class="control-group ">
    <label class="control-label" >Kelompok Pajak </label>
    <div class="controls">
        <input type="text" class="span3">
    </div>
</div>
<div class="control-group ">
    <label class="control-label">Nama Rekening </label>
    <div class="controls">
        <input type="text" class="span3">
    </div>
</div>

<div class="control-group ">
    <label class="control-label" >Tanggal SKPD</label>

    <div class="span2" style="margin:0;">
        <div class="input-group">
            <span class="input-group-addon"><i class="icon-calendar"></i></span>
            <?php
            $this->widget('zii.widgets.jui.CJuiDatePicker', array(
                'model' => $model,
                'attribute' => 'tanggal_kk',
                // additional javascript options for the date picker plugin
                'options' => array(
                    'yearRange' => 'c-50:c+20',
                ),
            ));
            ?>
        </div>
    </div>

</div>
<div class="control-group">
    <label class="control-label">Masa Pajak </label>
    <div class="controls">    
        <?php
        echo $form->DropDownList($model, 'no_telepon', array(
            'prompt' => 'Pilih',
            '0' => 'Januari',
            '1' => 'Februari',
            '2' => 'Maret',
            '3' => 'April',
                ), array('class' => 'span3'));
        ?>
    </div>
</div>
<div class="control-group">
    <label class="control-label">Tahun Pajak </label>
    <div class="controls">    
        <input type="text" class="span2">
    </div>
</div>

<div class="control-group ">
    <label class="control-label">Nomor Kohir </label>
    <div class="controls">
        <input type="text" class="span2">
        <?php
        $this->widget('bootstrap.widgets.TbButton', array(
            'type' => 'info',
            'label' => 'F1',
            'htmlOptions' => array('id' => 'btn_pilih_lokasi')
        ));
        ?>
    </div>
</div>

<div class="kanan" style="margin-left:50px;">
<div class="control-group ">
    <label class="control-label"><b>NPWPD</b></label>

    <input type="text" class="span1" style="width: 30px;" readonly >
    <input type="text" class="span1" style="width: 20px;" readonly >
    -
    <input type="text" class="span2" readonly >
    -
    <input type="text" class="span1" style="width: 20px;" readonly >
    -
    <input type="text" class="span1" style="width: 30px;" readonly >
</div>



<div class="control-group ">
    <label class="control-label"><b>Wajib Pajak </b></label>
    <div class="controls">
        <input type="text" class="span4" readonly >      
    </div>
</div>
    
    <div class="control-group ">
            <label class="control-label">- Alamat </label>
            <div class="controls">
                <input type="text" class="span4" readonly >
            </div>
        </div>
        <div class="control-group ">
            <label class="control-label">- Kelurahan/Desa </label>
            <div class="controls">
                <input type="text" class="span3" readonly >
            </div>
        </div>
        <div class="control-group ">
            <label class="control-label">- Kecamatan </label>
            <div class="controls">
                <input type="text" class="span3" readonly >
            </div>
        </div>
        <div class="control-group ">
            <label class="control-label">- Kabupaten </label>
            <div class="controls">
                <input type="text" class="span3" readonly >
            </div>
        </div>
    </div>
</div>
<br>

<div class="alert alert-success">B. SKPD </div>
>>>>>>> .r133
<div class="form">
    <br>

    <div class="control-group ">
        <label class="control-label" >NPWPD</label>

        <input type="text" class="span1" style="width: 30px;" readonly >
        <input type="text" class="span1" style="width: 20px;" readonly >
        -
        <input type="text" class="span2" readonly >
        -
        <input type="text" class="span1" style="width: 20px;" readonly >
        -
        <input type="text" class="span1" style="width: 30px;" readonly >
    </div>

    <div class="row-fluid">
    <div class="span4">
        <div class="control-group">
            <label class="control-label" >Tanggal Bayar</label>
            <div class="input-group">
                <span class="input-group-addon"><i class="icon-calendar"></i></span>
                <?php
                $this->widget('zii.widgets.jui.CJuiDatePicker', array(
                    'model' => $model,
                    'attribute' => 'tanggal_kk',
                    // additional javascript options for the date picker plugin
                    'options' => array(
                        'yearRange' => 'c-50:c+20',
                    ),
                ));
                ?>
            </div>
        </div>
    </div>
    <div class="span4">
        <div class="control-group">
            <label class="control-label" >Sampai Dengan</label>
            <!--<div class="span2" style="margin:0;">-->
            <div class="input-group">
                <span class="input-group-addon"><i class="icon-calendar"></i></span>
                <?php
                $this->widget('zii.widgets.jui.CJuiDatePicker', array(
                    'model' => $model,
                    'attribute' => 'nomor_kk',
                    // additional javascript options for the date picker plugin
                    'options' => array(
                        'yearRange' => 'c-50:c+20',
                    ),
                ));
                ?>
                <!--</div>-->
            </div>
        </div>
    </div>
</div>
    
    <div class="row-fluid">
    <div class="span4">
        <div class="control-group">
            <label class="control-label" >Periode</label>
            <div class="input-group">
                <input type="text" class="span2" style="width: 100px">
            </div>
        </div>
    </div>
    <div class="span4">
        <div class="control-group">
            <label class="control-label" >No Kohir</label>
                <div class="input-group">
                    <input type="text" class="span2" style="width: 100px">
                </div>
            </div>
        </div>
    </div>    

<<<<<<< .mine
    <div class="control-group ">
        <label class="control-label" >Kode Pejabat </label>
=======
<div class="control-group ">
    <label class="control-label" >Total Ketetapan Pajak </label>
    <br>
        <input type="text" class="span2" placeholder="0.00" >
</div>

        <div class="control-group ">
        <label class="control-label">TTD Penanggung Jawab </label>
>>>>>>> .r133
        <div class="controls">
            <input type="text" class="span2" style="width: 10px">
            <input type="text" class="span2">
        </div>
    </div>
<<<<<<< .mine
</div>
=======
        <div class="control-group ">
        <label class="control-label">TTD Bendahara Penerima </label>
        <div class="controls">
            <input type="text" class="span2">
            <?php
            $this->widget('bootstrap.widgets.TbButton', array(
                'type' => 'info',
                'label' => 'F2',
                'htmlOptions' => array('id' => 'btn_pilih_lokasi')
            ));
            ?>
        </div>
    </div>
>>>>>>> .r133

<<<<<<< .mine
<div class="control-group ">
    <label class="control-label" >Pilih </label>
        <div class="controls">                
           <?php echo $form->radioButtonList($model, 'nomor_kk', array(
            'Layar',
            'Printer',
            )); ?>
        </div>
=======
    
   <div class="control-group">
                <label class="control-label" >Tanggal Setor</label>
                <div class="input-group span2" >
                    <span class="input-group-addon"><i class="icon-calendar"></i></span>
                    <?php
                        $this->widget('zii.widgets.jui.CJuiDatePicker', array(
                        'model' => $model,
                        'attribute' => 'tanggal_kk',
                        // additional javascript options for the date picker plugin
                        'options' => array(
                        'yearRange' => 'c-50:c+20',
                        ),
                        ));
                    ?>
                </div>
            </div>

>>>>>>> .r133
</div>

<div class="form-actions">
    <?php
    $this->widget('bootstrap.widgets.TbButton', array(
        'buttonType' => 'submit',
        'type' => 'primary',
        'label' => $model->isNewRecord ? 'Cetak' : 'Save',
    ));
    ?>
    <?php
    $this->widget('bootstrap.widgets.TbButton', array(
        'buttonType' => 'submit',
        'type' => 'primary',
        'label' => $model->isNewRecord ? 'Batal' : 'Reset',
    ));
    ?>

</div>


<?php $this->endWidget(); ?>